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FIXTURE MT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER <br /> TYPE Floor Floor TYPE Floor Floor <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener � <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> 1. N CT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> '�, � ���•�� x .0125 $ �O • �� <br /> (contract price) (minimum $50.00) <br /> 2. 14T SURCHARGE <br /> �loS�. � X .000s $ oo �ot� <br /> (contract price) <br /> 3. P ST E 8� HANDLING (Only on Mail-In Applications) $ 2.00 <br /> 4. T TA PERMIT FEE (Add Lines 1-3 Above) $ �es3 <br /> * CONTRA T P ICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted w rNc in luding mat�rials, labor, profit, and other fixed costs. It is the amount to be charged to <br /> the custom r for e work done. If any material, equipment, labor or installations are furnished by the <br /> owner, tena t� or ny other party, the reasonable market value of such items must be added to the <br /> estimated c slt o contract price for permit fee purposes. In the event that there is a dispute on the <br /> amount of t e jo cost, the City may request the submission of a signed copy of the actual contract. <br /> The undersi ned ereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in <br /> strict accor anc ith the ordinances of the City and the regulations of the State of Minnesota, and <br /> certifies that all s tements made on this application are complete, true and correct. <br /> Applicant's igna Date: <br /> Building Offi ial/ spector: Date: <br /> Page 2 <br />